Non-maleficence is the principle of not harming another person, in a disaster, delay in treatment can do harm, accordingly prompt communication is vital in addressing care needs of a community. Beneficence refers to doing good, and justice refers to equity of distribution of health care resources. In an emergency, Beneficence and Justice can be achieved by efficient and effective triage to allocate limited resources to the neediest patients (Grimaldi, 2007). Grimaldi (2007) states “patients who can be saved and whose lives are in immediate danger should be treated first”
1.0 Introduction Acute respiratory distress syndrome also called adult respiratory distress syndrome. Acute respiratory distress syndrome (ARDS) was originally defined by Ashbaugh et al in 1967 as a condition identify by rapid onset tachypnoea and hypoxaemia with loss of lung compliance and bilateral infiltrates on chest radiograph. ARDS happen both adult and children. ARDS may happen in people of any age. Its rate increases with advancing age, ranging from 16 cases per 100,000 person-years in those aged 15-19 years to 306 cases per 100,000 person-years in those between the ages of 75 and 84 years.
We all know that on October 1, 2015 ICD-9 will no longer be precise information in the coding world. It will soon be ICD-10. Which is considered a major long overdue upgrade. It will advance healthcare in many many ways.
The patients are on our hands and its important to treat them as we would like to be treated. They are counting on us.
Each department of the hospital must work together to ensure the safety of all patients, visitors, and staff. Environmental Management Services (EMS) and the ICD work together closely, and the ICD must communicate effectively with each area of the hospital to ensure everyone is on the same page with policies, protocols, etc. By attending various departmental meetings such as domiciliary safety and sepsis control, I am now better able to explain the role of different systems in the analysis of public health problems. Everyone and every department is accountable to someone
Fraud is all around us. Especially in the health care industry. What is being done to prevent fraud from reoccurring over and over in the health care industry? In the article “New medical codes can better catch fraud, but training is needed” by Tami Rockholt, RN, BSN; Mike Fossey; Mary McLean, BS discuses the topic of health care organizations transferring from ICD-9 to ICD-10 to help decrease fraud in the coding and billing department.
Sepsis impacts the U.S. healthcare based on its high incidence, mortality rates, financial costs and long-term adverse effects on sepsis survivors. To reduce this impact, the rapid initiation of bundled care based on the SSC can reduce the severity of severe sepsis and septic shock thereby, reducing patient mortality and long term adverse effects. The objective of this paper is to discuss the benefits of implementing a sepsis bundle focusing on the SSC recommendations and the improved effects realized on patient outcomes and morality rates. The clinical question is as follows:
Each year, one out of ten residents will use the EMS providers and firefighters who respond to more than 17,000 calls in the entire region (Kudenchuk, 2015). Once 9-1-1 calls are made, professional dispatchers provide instructional steps for medical emergencies before the first response team unit arrives at the scene. Afterward, EMT, and paramedics provide supportive care before patients are transported to the hospitals for further treatment (Enhanced 9-1-1 Dispatch,
The Baylor Scott and White Health (BSWH) Nursing Professional Practice Model serves as the foundation for professional nursing practice. The model is based on the Synergy Model for Patient Care developed by the American Association of Critical Care Nurses (AACN). The synergy model incorporates the care delivery system of nurses, who have the authority, accountability and autonomy to ensure safe patient passage in the clinical decisions of patients and nurses in nursing
These protocols are to be met to provide patient comfort and avoid disaster. The Death
It is defined as а standard group of criteria to recognize if the person has а disease or not. Standardized case definitions information will be used to compare the University of Chicago Medicine with other facilities (benchmarking), to monitor the infection rate over time, and to evaluate the effectiveness of the Clostridium difficile prevention strategies. There are two national Clostridium difficile surveillance that is used in acute care setting, the National Health Safety Network (NHSN), а division from the Center for Disease Control and Prevention (CDC), and the Clinical Practice Guidelines from the Infectious Disease Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA). The University of Chicago Medicine will use the NHSN for national comparison (benchmarking). In case of plan failure, the University of Chicago Medicine will repeat the same steps of plan objectives as а plan B and auditing each step to make sure that plan is applied
1. Education to nursing staff who cared for Ms. Gadner on shock symptoms 2. Review with nurse Gilbert identification and treatment of infiltrated IV 3. Educate nursing staff who cared for Ms. Gadner on importance of documentation and updating of physicians of patient’s current condition. 4.
Working in a renal/urology medical-surgical unit, it is a challenge for both the nursing staff and nursing administration to have readmissions due to fluid and electrolyte imbalance from patients with ESRD and CHF. In my own experience, patients who have been in and out of the hospital for the past six months to a year are at a higher risk of acquiring nosocomial infections resulting in a weaker immune system to an already compromised one, as well as longer hospital stay. Readmissions from these patients pose as a physical, emotional and financial strain to both patients and/or their families. Additionally, readmissions within 30 days for patients with CHF poses as an additional cost for hospitals as there is reduced Medicare payments for Inpatient
I. Introduction A. Attention getter – How many of you know what the mental illness of schizophrenia is? B. Credibility statement – I have been around someone with schizophrenia since I was 10 years old. C. Thesis statement – Schizophrenia is a serious mental illness that has affected people throughout history in which people should be more knowledgeable of. D. Relevance statement – Someone with this illness has trouble distinguishing between what’s real and what is imaginary.
The current hospital protocol for Ebola is to identify (screen and speak up); isolate (place or in private room on contact and droplet precautions); escalate (immediate coordination of care with infectious disease, department management, and administration); and protect (use proper PPE when caring for suspected or confirmed Ebola patients). It has been said that rules and policies arise from errors and mistakes. This may very well be true, for the educational push for the current practice of caring for an Ebola patient resulted from lack of training and education regarding the screening, procedures, and care for the Ebola patient in Dallas. Four days after arriving from Liberia, Thomas Duncan arrived to a Dallas hospital ER for the chief complaint of fever, abdominal pain, dizziness, and nausea--four of the most common reasons people go to the ER. At the time of his first check in to the ED, he was treated the same as any other patient with viral symptoms and/or gastroenteritis.
